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Cough reflex testing in acute stroke: A survey of current UK service provision and speech and language therapist perceptions.
CONCLUSIONS & IMPLICATIONS: This survey gives valuable insight into the current practice and perceptions of SLTs in the UK working in acute stroke settings in relation to CRT. It highlights discrepancies between reported approaches and recommendations from existing guidelines and validation studies. The variation in responses indicates a need to develop a consensus statement and further research to guide practice. What this study adds What is already known on the subject CRT is gaining popularity as a screening tool for the clinical identification of SA with acute stroke patients. However, there is a lack of consensus ...
Source: International Journal of Language and Communication Disorders - September 6, 2020 Category: Speech-Language Pathology Authors: Trimble J, Patterson J Tags: Int J Lang Commun Disord Source Type: research

Screening for silent aspiration in hyperacute stroke: A feasibility study of clinical swallowing examination and cough reflex testing
CONCLUSIONS & IMPLICATIONS: CRT, CSE and FEES are feasible in 58% of hyperacute stroke patients in this setting. FEES anxiety is the main recruitment barrier and is not always well tolerated. Results support further work to establish optimum methods and differential sensitivity/specificity of CRT and CSE in hyperacute stroke for SA identification.WHAT THIS PAPER ADDS: What is already known on this subject SA significantly increases the risk of pneumonia in the early days post-stroke. CSEs are unreliable for identification of SA risk in this population. CRT is gaining popularity as a potential tool to identify stroke patien...
Source: International Journal of Language and Communication Disorders - May 9, 2023 Category: Speech-Language Pathology Authors: Julie Trimble Joanne M Patterson Janet A Wilson Anand K Dixit Michael Drinnan Source Type: research